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NPI Code Detail

MEDICARE: MR. DENNIS HARRIS P.A.-C

MEDICARE:  MR. DENNIS  HARRIS  P.A.-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant102356NC

General Provider Information

NPI Number : 1992717524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS HARRIS P.A.-C
Provider Business Mailing Address
First Line : 2261 NASH ST NW
Second Line :
City : WILSON
State : NC
Zip : 27896-1735
Country : US
Telephone Number : 252-237-8403
Fax Number : 252-237-7443
Provider Business Practice Location Address
First Line : 2261 NASH ST NW
Second Line :
City : WILSON
State : NC
Zip : 27896-1735
Country : US
Telephone Number : 252-237-8403
Fax Number : 252-237-7443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 02/11/2016

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Directions to “ MR. DENNIS HARRIS P.A.-C” Practice Location

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